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1 i2i Systems Presents 2014 PCMH Standards A Whole New Ballgame Thank you for joining us! The webinar will begin shortly.
2 2014 PCMH Standards A Whole New Ballgame Shannon Nielson, MHSA, PCMH-CCE
3 Objectives Understand 2011 to 2014 Changes Transitioning from 2011 to 2014 operationally USING your Pop. Health tool to BE a PCMH
4 Why PCMH? Improved Outcomes Access QI Population Health Patient Care Transitions Coordinat ed Care Self Support Improved Pt. Experience Decreased Cost
5 Who and Why?
6 Poll Question Where are you on your PCMH journey? A Recognized and ready to prepare for 2014 B. Working on 2011 Recognition now C. Not 2011 Recognized and starting 2014 recognition now D. Haven t even started my PCMH journey yet
7 NCQA Application Timeline: 2011 VS Last day to buy 2011 Survey Tool was June 30, 2014 Last day to apply using 2011 Survey tool is March 31, Tools now available and now being accepted
8 What s the same
9 What s Different Standard 1 Enhance Access and Continuity Patient Centered Access Standard 2 Standard 3 Identify and Manage Patient Populations Plan and Manage Care Team Based Care Population Health Management Standard 4 Provide Self-Care Support and Community Resources Care Management and Support Standard 5 Track and Coordinate Care Care Coordination and Care Transitions Standard 6 Measure and Improve Performance Performance Measurement and Quality Improvement
10 2011 to 2014: Upgrade
11 New Transformation
12 Either way
13 2014: Embracing the Triple Aim Utilization Coordination Decreased Cost Positive Pt. Experience Access Improved Outcomes
14 2014 Enhancements MU Stage 2 Team Based Care Operational Care Management/High Priority Utilization Behavioral Health Sustainability 2011 PCMH 2014 PCMH Pre PCMH
15 Standard 1 ENHANCE ACCESS AND CONTINUITY Same Day appointments Telephone access during hours Telephone access after hours Empanelment CLAS Clinical Huddles Job Descriptions and Training PATIENT CENTERED ACCESS Same Day appointments during hours Appointments after hours (availability) Alternative types of encounters Availability of appointments No Shows Improve Access
16 Standard 2 Team Based Care Empanelment Patient Orientation Medical Home Responsibilities CLAS The Practice Team Clinical and operations Huddles Operational meetings Training Including patients in QI and TEAM BASED CARE
17 Standard 3 Population Health Management (2011 s standard 2) Pt. information Clinical Data Comprehensive Health Assessment Data for Pop Health Management Preventive Immunizations Chronic/Acute Not recently seen Medication
18 Standard 4 Care Management and Support (the old 3 and 4) Identification of patients needing care Behavioral Health Utilization Complex Conditions Social Determinants Referrals Management Care planning and self care Medication Management E-Rx Support Self Care and Shared Decision Making and Community Resources
19 Standard 5 Care Coordination and Care Transitions Test Tracking Referral Tracking Care Transitions
20 Standard 6 Quality Improvement Preventive, Chronic, Utilization and Vulnerable Patient Satisfaction CQI Improvement on 2 Transparency Performance Measurement and Quality Improvement Preventive, Chronic, IZ and Vulnerable Resource Use Care Coordination Utilization Patient Satisfaction CQI Improvement on prev, chronic, utilization and pt. sat Transparency and transparency with patients
21 2011 Vs Documentation Heavy Conceptual Operationalize Transformation / Operational Patient Centered Sustain
22 i2i Empanelment Tool Kit Care Management Registry Access and Appointments Care Coordination Population Health Team Based Care Quality Improvement
23 Empanelment Toolkit and Utilization
24 Care Management Registry
25 Team Based Care
26 Measurement and Improvement
27 Upcoming Events 2014 Regional User Conferences West Coast September 4-5, 2014 Hyatt Vineyard Creek Hotel & Spa Santa Rosa, CA East Coast September 25-26, 2014 The Hotel at the Arundel Preserve Hanover, MD
28 Q & A For more information contact: Shannon Nielson, HealthSpan Solutions SNielson@HealthSpan.org (513) Rhonda Metze, Sr. VP of Sales rhondam@i2isys.com (866) X110 Nancy Thompson, Director of Education nancyt@i2isys.com (866) X135
29 Thank you!
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